中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (39): 7367-7370.doi: 10.3969/j.issn.1673-8225.2010.39.036

• 骨与关节综述 bone and joint review • 上一篇    下一篇

膝关节功能评分：现状与展望

辛  雷，苏佳灿   

  1. 解放军第二军医大学长海医院骨科，上海市 200433
  • 出版日期:2010-09-24 发布日期:2010-09-24
  • 通讯作者: 苏佳灿，博士，副主任医师，副教授，解放军第二军医大学长海医院骨科，上海市 200433 sujiacan@yahoo.com.cn
  • 作者简介:辛雷，男，1985年生，山东省淄博市人，汉族，2009年解放军第二军医大学毕业，医师，主要从事创伤骨科方面的研究。 xinleijunyi@126.com

Current status and prospect of knee function scoring

Xin Lei, Su Jia-can   

  1. Department of Orthopaedic Trauma, Changhai Hospital, Second Military Medical University of Chinese PLA, Shanghai  200433, China
  • Online:2010-09-24 Published:2010-09-24
  • Contact: Su Jia-can, Doctor, Associate chief physician, Associate professor, Department of Orthopaedic Trauma, Changhai Hospital, Second Military Medical University of Chinese PLA, Shanghai 200433, China sujiacan@yahoo.com.cn
  • About author:Xin Lei, Physician, Department of Orthopaedic Trauma, Changhai Hospital, Second Military Medical University of Chinese PLA, Shanghai 200433, China xinleijunyi@126.com

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摘要：

背景：膝关节功能障碍严重影响人们的生活质量，损伤关节治疗修复后，科学、合理、准确的膝关节功能评估方法一直是关节外科研究的热点。尽管现在国际上各种评分系统纷繁复杂，但是迄今没有一个能在国际上被广泛接受的金标准。
目的：分析膝关节功能评分的现状，综合应用，取长补短，以期对现有评分系统进行改进与升级。
方法：由第一作者检索1990/2008 PubMed数据库、万方数据库、清华同方数据库、重庆维普数据库、elsevier数据库及JBJS。英文检索词为“knee score, function score, score status”，中文检索词为“膝关节评分，功能评分，评分现状”。主要纳入近5年来的最新论文研究进展，比较不同评分系统的应用领域与优劣，并通过追查所用文献的引用文献材料，了解评分的基本信息和概况。
结果与结论：通过对58篇文献的筛检，整理出31篇文献支持该综述的完成。总结归纳获悉，虽然不同评分系统都能对膝关节功能状况进行一定的评价，但其各有侧重，Lysholm膝关节评分适用于评价膝关节韧带损伤和软骨损伤，牛津膝关节评分、美国膝关节协会评分、高活性关节成形术评分适用于于全膝关节置换和全膝关节成形术，膝关节损伤和骨关节炎结果评分、膝骨关节炎突发评分在评价膝骨关节炎方面更显优势。

关键词: 膝关节, 关节功能, 评分, 现况, 展望

Abstract:

BACKGROUND: The dysfunction of the knee joint greatly affects quality of patient life. After the treatment of the injured joint, scientific, reasonable and accurate assessment of joint function has been a hot research in joint surgery. Although there are a variety of international scoring systems, there has been no one widely accepted as a gold standard.
OBJECTIVE: To analyze the current status of knee joint function assessment to improve and upgrade current scoring system.
METHODS: A computer-based online search of PubMed, Wanfang, CNKI, VIP, Elsevier and JBJS databases was performed for articles published between 1990 and 2008, with key words “knee score, function score, score status” in English and Chinese, respectively. Articles published in the latest 5 years were included. The application and characteristics of different scoring systems were compared. By tracing the references of the used literature materials, the basic information and overview of the score system were known.
RESULTS AND CONCLUSION: Through the screening of 58 articles, 31 articles were included. The summary shows that although different scoring systems can assess knee joint function, they also have different emphases: The Lysholm Knee Scale is more suitable for the evaluation of knee ligament injuries and cartilage damage; The Oxford Knee Score, American Knee Society Score and High-Activity Arthroplasty Score——HAAS are more suitable for the evaluation of total knee replacement and total knee arthroplasty; Knee Injury and Osteoarthritis Outcome Score——KOOS and Knee Osteoarthritis Flare-Ups Score——KOFUS have significant meaning in the evaluation of knee osteoarthritis.

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